Request Information | Bridgton Academy

Student Information

First Name *

Last Name *

Date of Birth

Month

Day

Year

Student Email *

Student Cell Phone *

Do you agree to receive SMS from Bridgton Academy. *

Agree

Disagree

By selecting 'Agree', you agree to receive SMS messages about Bridgton Academy from Bridgton Academy. You may reply STOP to opt-out at any time. Reply HELP for assistance. Messages and data rates may apply. Message frequency may vary. See our privacy policy here https://bridgtonacademy.org/privacy-policy/

High School Information

Current High School Name *

High School City *

High School Country *

High School State/Province *

Parent/Guardian

First Name *

Last Name *

Relationship to Student *

Relationship to Student Other...

E-Mail Address *

Home Telephone *

Please enter your number as XXX-XXX-XXXX

Mailing Address

Street *

Additional

City *

Country *

State / Province *

Postal Code *

Parent/Guardian 2 In Same Household

First Name

Last Name

Relationship to Student

Relationship to Student Other...

E-Mail Address

Parent/Guardian In Second Household

First Name

Last Name

Relationship to Student

Relationship to Student Other...

E-Mail Address

Mailing Address For Second Household

Street

Additional

City

Country

State / Province

Postal Code

Additional Information

Person filling out the form *

Person filling out the form Other...

How did you hear about Bridgton Academy?

How did you hear about Bridgton Academy? Other...

Please share the name of the person who referred you to BA

Please share the source

I would like to request the following

To receive an information packet about Bridgton Academy

To be contacted by a Bridgton Academy admission counselor

To schedule a visit to Bridgton Academy

Other...

I would like to request the following Other...

Year of Proposed Entrance *

Grade of Entry

Will you be applying for financial aid?

Yes

Please visit our website for more information on financial aid: https://bridgtonacademy.org/tuition-and-financial-aid/